LOLA BRIDGET DEFEVER

MANITOWOC, WI
NPI1053099648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  6270-154)
Enumeration Date2023-07-05
Last Update Date2023-07-05
Business Address
-- LOLA BRIDGET DEFEVER MS, CF-SLP
2300 WESTERN AVE
MANITOWOC, WI 54220-3712
Phone number: 262-804-7554
Mailing Address
-- LOLA BRIDGET DEFEVER MS, CF-SLP
1000 RIVER POINT DR APT 510
MANITOWOC, WI 54220-5675
Phone number: 262-804-7554
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